Wang Ting, Hu Yu, Zhang Youqun
Operation Room of Wuhan Hospital of Traditional Chinese and Western Medicine, Wuhan, Hubei, China.
Department of Urology, Wuhan Asian Heart General Hospital, Wuhan, Hubei, China.
Medicine (Baltimore). 2025 Jan 31;104(5):e41148. doi: 10.1097/MD.0000000000041148.
This study aims to explore the effect of integrated care mode on patients in Da Vinci robot-assisted urology surgery and provide a new nursing scheme for clinic. A total of 93 patients from August 2022 to March 2024 were selected and divided into intervention group (43 cases) and control group (50 cases). The operation time, blood loss, first postoperative exhaust time, time to get out of bed, pain score (visual analog scale), psychological status (self-rating anxiety scale and self-rating depression scale), quality of life score (36-Item Short Form Survey), catheter retention time, patient satisfaction, incision healing, incidence of urinary system infection, nutritional status, and complication rate were compared between the 2 groups. There were no significant differences in baseline data and operative time between the 2 groups (P > .05), but the amount of intraoperative blood loss in the intervention group (250.32 ± 50.23) mL was less than that in the control group (320.56 ± 65.34) mL (P < .05). The first postoperative exhaust time and getting out of bed time in the intervention group were shorter than those in the control group (P < .05), and the pain visual analog scale score was lower than that in the control group (P < .05). The scores of self-rating anxiety scale and self-rating depression scale of mental state were better than those of the control group (P < .05), and the scores of quality of life were higher (P < .05). The retention time of catheter was shorter than that of the control group (P < .05), the patient satisfaction was 93.02% higher than that of the control group 78.00% (P < .05), and the grade A incision healing rate was 90.70% higher than that of the control group 76.00% (P < .05). The incidence of urinary system infection (4.65%) was lower than that of the control group (16.00%) (P < .05), the changes of serum albumin level and body weight were lower than that of the control group (P < .05), and the complication rate of 6.98% was lower than that of the control group (22.00%) (P < .05). Although the integrated medical care model did not significantly shorten the operation time, it was beneficial to the postoperative recovery of patients in many aspects.
本研究旨在探讨整合照护模式对达芬奇机器人辅助泌尿外科手术患者的影响，并为临床提供一种新的护理方案。选取2022年8月至2024年3月的93例患者，分为干预组（43例）和对照组（50例）。比较两组患者的手术时间、出血量、术后首次排气时间、下床时间、疼痛评分（视觉模拟评分法）、心理状态（自评焦虑量表和自评抑郁量表）、生活质量评分（36条目简明健康调查量表）、导尿管留置时间、患者满意度、切口愈合情况、泌尿系统感染发生率、营养状况及并发症发生率。两组患者的基线数据和手术时间比较，差异无统计学意义（P>0.05），但干预组术中出血量（250.32±50.23）mL少于对照组（320.56±65.34）mL（P<0.05）。干预组术后首次排气时间和下床时间短于对照组（P<0.05），疼痛视觉模拟评分低于对照组（P<0.05）。心理状态的自评焦虑量表和自评抑郁量表评分优于对照组（P<0.05），生活质量评分高于对照组（P<0.05）。导尿管留置时间短于对照组（P<0.05），患者满意度为93.02%，高于对照组的78.00%（P<0.05），甲级切口愈合率为90.70%，高于对照组的76.00%（P<0.05）。泌尿系统感染发生率（4.65%）低于对照组（16.00%）（P<0.05），血清白蛋白水平和体重变化低于对照组（P<0.05），并发症发生率为6.98%，低于对照组的22.00%（P<0.05）。虽然整合医疗照护模式未显著缩短手术时间，但在多方面有利于患者术后恢复。
